Individual
MICHELLE MARIE TOMALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 4TH ST N, SUITE 101, ST PETERSBURG, FL 33702-3108
(727) 579-7974
Mailing address
1825 NORTHVIEW RD, LARGO, FL 33770-3119
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22190
FL
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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